Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $67.59 / $140.21	Professional		$45.28	$67.59	$140.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $107.35 / $128.82	Professional		$79.84	$107.35	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $91.94 / $123.85	Professional		$78.31	$91.94	$123.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $91.03 / $107.35	Professional		$56.03	$91.03	$107.35
United Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $104.66 / $127.49	Professional		$77.68	$104.66	$127.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $66.31 / $108.34	Professional		$29.27	$66.31	$108.34